Clinical Mgr, Continuum of Care
Job Description
In addition to the responsibilities below, this position is also responsible for implementing best practice models; implementing patient care delivery systems and practice standards in several locations; investigating and resolving patient/family/member concerns regarding patient care and services; collaborating with physicians, outside healthcare providers, and other health care team members to target diseases/conditions/services that would benefit from a multidisciplinary approach; managing interdisciplinary teams to design assessment tools, interventions, and care management plans that improve member outcomes throughout the continuum of care; monitoring resource needs in assigned clinical areas to ensure appropriate assignment and utilization; monitoring the use and maintenance of equipment, supplies and medications; fostering a safe environment for patients and employees; maintaining clinical expertise, providing clinical supervision, ensuring staff competency and licensing necessary to fulfill job responsibilities and to direct the provision of care in the department, providing peer-review within area of expertise; delegating tasks and duties that are aligned to scope of practice; and performing clinical duties as required.
Essential Responsibilities:
- Provides developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works closely with employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; develops and provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Leads, adapts, implements, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends. Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams. Delegates tasks and decisions as appropriate; provides appropriate support, guidance, and scope; encourages development and consideration of options in decision making.
- Manages designated work unit or team by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed. Aligns team efforts; builds accountability for and measuring progress in achieving results; determines and ensures processes and methodologies are implemented; resolves escalated issues as appropriate; sets standards and measures progress. Fosters the development of work plans to meet business priorities and deadlines; obtains and distributes resources. Removes obstacles that impact performance; identifies and addresses improvement opportunities; guides performance and develops contingency plans accordingly; influences teams to execute in alignment with operational objectives.
- Manages continuum of care / care at home operations to support patient care by: driving implementation of action items and supporting compliance with timelines and financial commitments; using and providing feedback on standard reports and identifying needed ad hoc reporting to meet specific client needs related to workflow and performance targets; providing feedback as needed on data collection, reviewing data, and translating reports into short-term operational initiatives; managing human resources activities related to recruitment, creating and ensuring the use of standardized procedures and processes for employee management; leading survey and compliance readiness activities, including mock rounds and mitigating issues, to maintain compliance and regulatory standards and developing procedures for preparing audit documentation, information, and reports; and assisting in the development and management of their departments expenditures, payroll, and non-payroll budget with input from a higher-level leader.
- Ensures standardized care delivery by: developing strategic partnerships with physicians and subject matter experts and managing complex work streams and implementing strategic initiatives with significant program impact; using data and analysis to ensure strategic alignment while developing and implementing plans; proactively monitoring and managing daily operational activities involving patient care management, ensuring consistency and seamless transitions across the continuum of care; managing resources in clinical areas to ensure appropriate assignment and utilization; managing multidisciplinary continuum of care / care at home team(s); supports managing local agency and outside provider contract/vendor relations that provide optimal patient care and medical services for care across the continuum; implementing emergency preparedness programs and ensuring the teams emergency preparedness and recovery plans are current and that staff are trained and know what is expected during and after an emergency; and leading project teams, initiatives and monitoring implementation and delivery on objectives.
- Manages improvements to operations and technology processes by: defining issues and overseeing the development of goals and priorities for strategic projects designed to remediate issues and improve quality, service, affordability, and/or operating efficiency; applying a structured approach for identifying root causes and implementing solutions to improve the performance of operations system processes; and ensuring performance metrics used to monitor the success of strategic improvement projects are tied to strategic department initiatives.
Minimum Qualifications:
- Minimum two (2) years of experience in a leadership role with or without direct reports.
- Minimum two (2) years of customer or member/patient service experience.
- Bachelors degree in a business, nursing, health care, or directly related field AND minimum three (3) years of experience in business operations, clinical health care, or a directly related field OR minimum six (6) years of experience in business operations, clinical health care, or a directly related field.
- This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.
- Registered Nurse License (Maryland) within 6 months of hire AND Registered Nurse License (District of Columbia) within 6 months of hire AND Registered Nurse License (Virginia) within 6 months of hire
- Speech-Language Pathologist License (District of Columbia) within 6 months of hire AND Speech Language Pathologist License (Maryland) within 6 months of hire AND Speech-Language Pathologist License (Virginia) within 6 months of hire
- Pharmacist License (Virginia) within 6 months of hire AND Pharmacist License (Maryland) within 6 months of hire AND Pharmacist License (District of Columbia) within 6 months of hire
- Physician Assistant License (Maryland) within 6 months of hire AND Physician Assistant License (Virginia) within 6 months of hire AND Physician Assistant License (District of Columbia) within 6 months of hire
- Occupational Therapist License (District of Columbia) within 6 months of hire AND Occupational Therapist License (Virginia) within 6 months of hire AND Occupational Therapist License (Maryland) within 6 months of hire
- Physical Therapist License (District of Columbia) within 6 months of hire AND Physical Therapist License (Virginia) within 6 months of hire AND Physical Therapist License (Maryland) within 6 months of hire
- Licensed Clinical Social Worker (Virginia) within 6 months of hire AND Independent Clinical Social Worker License (District of Columbia) within 6 months of hire AND Licensed Certified Social Worker (Maryland) within 6 months of hire
- Registered Nurse License (District of Columbia) within 6 months of hire AND Compact License: Registered Nurse within 6 months of hire
- Dietitian License (District of Columbia) within 6 months of hire AND Registered Dietitian Nutritionist Certification required at hire AND Dietitian License - Nutritionist (Maryland) within 6 months of hire
- Dietitian License - Nutritionist (Maryland) within 6 months of hire AND Registered Dietitian required at hire AND Dietitian License (District of Columbia) within 6 months of hire
- Respiratory Care Practitioner License (District of Columbia) within 6 months of hire AND Respiratory Therapist License (Virginia) within 6 months of hire AND Respiratory Care Practitioner License (Maryland) within 6 months of hire
- Compact License: Physical Therapist within 6 months of hire
- Basic Life Support required at hire
- Knowledge, Skills, and Abilities (KSAs): Evidence-Based Medicine Principles; Evidence-Based Practices; Compliance Management; Confidentiality; Member Service; Conflict Resolution; Stakeholder Management; Legal And Regulatory Requirements; Microsoft Office; Health Care Quality Standards; Information Systems
In addition to the responsibilities below, this position is also responsible for implementing best practice models; implementing patient care delivery systems and practice standards in several locations; investigating and resolving patient/family/member concerns regarding patient care and services; collaborating with physicians, outside healthcare providers, and other health care team members to target diseases/conditions/services that would benefit from a multidisciplinary approach; managing interdisciplinary teams to design assessment tools, interventions, and care management plans that improve member outcomes throughout the continuum of care; monitoring resource needs in assigned clinical areas to ensure appropriate assignment and utilization; monitoring the use and maintenance of equipment, supplies and medications; fostering a safe environment for patients and employees; maintaining clinical expertise, providing clinical supervision, ensuring staff competency and licensing necessary to fulfill job responsibilities and to direct the provision of care in the department, providing peer-review within area of expertise; delegating tasks and duties that are aligned to scope of practice; and performing clinical duties as required.
Essential Responsibilities:
- Provides developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works closely with employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; develops and provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Leads, adapts, implements, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends. Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams. Delegates tasks and decisions as appropriate; provides appropriate support, guidance, and scope; encourages development and consideration of options in decision making.
- Manages designated work unit or team by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed. Aligns team efforts; builds accountability for and measuring progress in achieving results; determines and ensures processes and methodologies are implemented; resolves escalated issues as appropriate; sets standards and measures progress. Fosters the development of work plans to meet business priorities and deadlines; obtains and distributes resources. Removes obstacles that impact performance; identifies and addresses improvement opportunities; guides performance and develops contingency plans accordingly; influences teams to execute in alignment with operational objectives.
- Manages continuum of care / care at home operations to support patient care by: driving implementation of action items and supporting compliance with timelines and financial commitments; using and providing feedback on standard reports and identifying needed ad hoc reporting to meet specific client needs related to workflow and performance targets; providing feedback as needed on data collection, reviewing data, and translating reports into short-term operational initiatives; managing human resources activities related to recruitment, creating and ensuring the use of standardized procedures and processes for employee management; leading survey and compliance readiness activities, including mock rounds and mitigating issues, to maintain compliance and regulatory standards and developing procedures for preparing audit documentation, information, and reports; and assisting in the development and management of their departments expenditures, payroll, and non-payroll budget with input from a higher-level leader.
- Ensures standardized care delivery by: developing strategic partnerships with physicians and subject matter experts and managing complex work streams and implementing strategic initiatives with significant program impact; using data and analysis to ensure strategic alignment while developing and implementing plans; proactively monitoring and managing daily operational activities involving patient care management, ensuring consistency and seamless transitions across the continuum of care; managing resources in clinical areas to ensure appropriate assignment and utilization; managing multidisciplinary continuum of care / care at home team(s); supports managing local agency and outside provider contract/vendor relations that provide optimal patient care and medical services for care across the continuum; implementing emergency preparedness programs and ensuring the teams emergency preparedness and recovery plans are current and that staff are trained and know what is expected during and after an emergency; and leading project teams, initiatives and monitoring implementation and delivery on objectives.
- Manages improvements to operations and technology processes by: defining issues and overseeing the development of goals and priorities for strategic projects designed to remediate issues and improve quality, service, affordability, and/or operating efficiency; applying a structured approach for identifying root causes and implementing solutions to improve the performance of operations system processes; and ensuring performance metrics used to monitor the success of strategic improvement projects are tied to strategic department initiatives.
Minimum Qualifications:
- Minimum two (2) years of experience in a leadership role with or without direct reports.
- Minimum two (2) years of customer or member/patient service experience.
- Bachelors degree in a business, nursing, health care, or directly related field AND minimum three (3) years of experience in business operations, clinical health care, or a directly related field OR minimum six (6) years of experience in business operations, clinical health care, or a directly related field.
- This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.
- Registered Nurse License (Maryland) within 6 months of hire AND Registered Nurse License (District of Columbia) within 6 months of hire AND Registered Nurse License (Virginia) within 6 months of hire
- Speech-Language Pathologist License (District of Columbia) within 6 months of hire AND Speech Language Pathologist License (Maryland) within 6 months of hire AND Speech-Language Pathologist License (Virginia) within 6 months of hire
- Pharmacist License (Virginia) within 6 months of hire AND Pharmacist License (Maryland) within 6 months of hire AND Pharmacist License (District of Columbia) within 6 months of hire
- Physician Assistant License (Maryland) within 6 months of hire AND Physician Assistant License (Virginia) within 6 months of hire AND Physician Assistant License (District of Columbia) within 6 months of hire
- Occupational Therapist License (District of Columbia) within 6 months of hire AND Occupational Therapist License (Virginia) within 6 months of hire AND Occupational Therapist License (Maryland) within 6 months of hire
- Physical Therapist License (District of Columbia) within 6 months of hire AND Physical Therapist License (Virginia) within 6 months of hire AND Physical Therapist License (Maryland) within 6 months of hire
- Licensed Clinical Social Worker (Virginia) within 6 months of hire AND Independent Clinical Social Worker License (District of Columbia) within 6 months of hire AND Licensed Certified Social Worker (Maryland) within 6 months of hire
- Registered Nurse License (District of Columbia) within 6 months of hire AND Compact License: Registered Nurse within 6 months of hire
- Dietitian License (District of Columbia) within 6 months of hire AND Registered Dietitian Nutritionist Certification required at hire AND Dietitian License - Nutritionist (Maryland) within 6 months of hire
- Dietitian License - Nutritionist (Maryland) within 6 months of hire AND Registered Dietitian required at hire AND Dietitian License (District of Columbia) within 6 months of hire
- Respiratory Care Practitioner License (District of Columbia) within 6 months of hire AND Respiratory Therapist License (Virginia) within 6 months of hire AND Respiratory Care Practitioner License (Maryland) within 6 months of hire
- Compact License: Physical Therapist within 6 months of hire
- Basic Life Support required at hire
- Knowledge, Skills, and Abilities (KSAs): Evidence-Based Medicine Principles; Evidence-Based Practices; Compliance Management; Confidentiality; Member Service; Conflict Resolution; Stakeholder Management; Legal And Regulatory Requirements; Microsoft Office; Health Care Quality Standards; Information Systems
About Kaiser Permanente
At Kaiser Permanente, we’re all focused on helping people and providing high-quality, affordable health care services and to improve the health of our members and the communities we serve. Across our organization, we’re fiercely committed to our members, our mission, our communities, and each other. We know that each part of the Kaiser Permanente team is essential to our success. Together, we are more than 235,000 dedicated professionals working to advance Kaiser Permanente’s commitment to delivering a healthier tomorrow.
Driven by our collective passion at Kaiser Permanente, we strive to make health care more innovative and compassionate. With the wellness of our patients and our communities at heart, we work to revolutionize health and care from more than 650 locations in 8 states and D.C.
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